28 June 2022
During a routine inspection
About the service
Purley House is a care home providing personal care to two people at the time of the inspection. The service can support up to three people.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
¿ The service supported people to have control and independence over their own lives.
¿ People were supported by staff to pursue their interests and work towards their aspirations and goals.
¿ People had a choice about their living environment and were able to personalise their rooms.
¿ Staff supported people to take part in activities and pursue their interests in their local area.
¿ Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care
¿ Staff promoted equality and diversity in their support for people.
¿ People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs.
¿ Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
¿ The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
¿ People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Right culture
¿ The provider did not always ensure the maintenance of the premises safety in regards to legionella checks, thermostatic mixing valves and fail-safe checks.
¿ Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
¿ Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.
¿ Staff placed people’s wishes, needs and rights at the heart of everything they did.
¿ People and those important to them, were involved in planning their care.
¿ Staff evaluated the quality of support provided to people, involving the person and other professionals as appropriate.
¿ People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
¿ Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 28 November 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to premises and equipment at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.